Individual provider · Type 1 NPI

Lauren Petka

Mental Health Counselor · Dallas, TX

NPI number 1538868765 Active

Practice location

2001 Ross Ave Ste 700-101
Dallas, TX 75201-2911

Call (703) 939-5636 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X90625

Mental Health Counselor: Definition to come...

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About NPI 1538868765

Lauren Petka's National Provider Identifier is 1538868765, issued on Feb 27, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Jun 29, 2024.